![]() However, they found no major instability in these patients and it is uncertain if these injuries will be clinically relevant in the long term. Additionally, 98% of the patients had a ligamentous injury. ![]() These lesions may lead to the development of osteoarthritis in the long term. They described 35 subchondral haematomas in 16 cases, and an incidence of chondral lesions of approximately 33%. already examined the frequency of associated chondral and ligament lesions with arthroscopy in 50 patients in 1997. Moreover, during arthroscopy the quality of the reduction and the presence of associated ligamentous injuries can be assessed. Arthroscopically assisted removal of intra-articular fracture haematoma and debris may improve the functional outcomes following operative treatment of intra-articular distal radius fractures. However, some patients continue to have a painful and stiff wrist postoperatively. This technique leads to a quicker resume of function in the first three to six months compared to non-operative treatment. In particular, intra-articular distal radius fractures, which comprise almost 50% of all fractures, are increasingly being treated operatively. In the last decade, an increase in open reduction and internal fixation (ORIF) for distal radius fractures has been observed. We hypothesise that, due to the removal of fracture haematoma and debris by an additional arthroscopy, functional outcomes will be better compared to the non-arthroscopically treated group. DiscussionĪlthough ORIF of intra-articular distal radius fractures leads to a quicker resume of function compared to non-operative treatment, some patients continue to have a painful and stiff wrist postoperatively. A total of 50 patients will be included in this study. Additionally, in the intervention group, the quality of reduction, associated ligamentous injuries and cartilage damage will be assessed. Secondary outcomes are wrist function assessed with the Disability of the Arm, Shoulder and Hand (DASH) score, postoperative pain, range of motion, grip strength, complications and cost-effectiveness. The primary outcome is functional outcome assessed with the PRWE score after three months. In this multicentre trial, adult patients with a displaced complete articular distal radius fracture are randomised between ORIF with an additional wrist arthroscopy to remove fracture haematoma and debris (intervention group) and conventional fluoroscopic-assisted ORIF (control group). The purpose of this randomised controlled trial is to determine the difference in functional outcome, assessed with the Patient-Rated Wrist Evaluation (PRWE) score, after ORIF with and without an additional wrist arthroscopy in adult patients with displaced complete articular distal radius fractures. This technique leads to a quicker recovery of function compared to non-operative treatment. 566 Other musculoskeletal system and connective tissue diagnoses without cc/mccĬonvert S52.In the past several years, an increase in open reduction and internal fixation (ORIF) for intra-articular distal radius fractures has been observed.565 Other musculoskeletal system and connective tissue diagnoses with cc.564 Other musculoskeletal system and connective tissue diagnoses with mcc.ICD-10-CM S52.592K is grouped within Diagnostic Related Group(s) (MS-DRG v41.0): S52.592K is considered exempt from POA reporting."Present On Admission" is defined as present at the time the order for inpatient admission occurs - conditions that develop during an outpatient encounter, including emergency department, observation, or outpatient surgery, are considered POA.
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